Rural Health
Resources by Topic: Telehealth
Quickstart Roadmap for a Solo Tele-Nutrition Practice
Guide outlining steps to setting up a solo tele-nutrition practice. Discusses technology selection, workflow design, and patient engagement.
Date: 07/2025
Sponsoring organization: National Telehealth Technology Assessment Resource Center
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Guide outlining steps to setting up a solo tele-nutrition practice. Discusses technology selection, workflow design, and patient engagement.
Date: 07/2025
Sponsoring organization: National Telehealth Technology Assessment Resource Center
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Use of Telebehavioral Health Services by Critical Access Hospitals in the United States: A Qualitative Study of the Impacts of Medicare Flexibilities and Future Opportunities
Analyzes interviews with 22 Critical Access Hospital (CAH) administrators and providers to identify how telebehavioral health is used in CAHs, the impact of Medicare billing flexibility, and opportunities and challenges for telebehavioral healthcare moving forward.
Author(s): Christopher M. Shea, Sharita Thomas, Marah Maaita, Heidi O'Connor, Yvonne Jonk
Citation: Digital Health, 11
Date: 07/2025
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Analyzes interviews with 22 Critical Access Hospital (CAH) administrators and providers to identify how telebehavioral health is used in CAHs, the impact of Medicare billing flexibility, and opportunities and challenges for telebehavioral healthcare moving forward.
Author(s): Christopher M. Shea, Sharita Thomas, Marah Maaita, Heidi O'Connor, Yvonne Jonk
Citation: Digital Health, 11
Date: 07/2025
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Interstate Occupational Licensure Arrangements to Expand Access to Behavioral Health Services
Policy brief describing state-based provisions to expand behavioral health services through interstate licensure arrangements for providers. Discusses potential impact on provision of behavioral health services, including telehealth, with a focus on how expanded services might enhance access for rural residents. Features state-level maps showing where legislation has been enacted or introduced, as of November 2024.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Lisa A. Garberson, Janessa M. Graves
Date: 07/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Policy brief describing state-based provisions to expand behavioral health services through interstate licensure arrangements for providers. Discusses potential impact on provision of behavioral health services, including telehealth, with a focus on how expanded services might enhance access for rural residents. Features state-level maps showing where legislation has been enacted or introduced, as of November 2024.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Lisa A. Garberson, Janessa M. Graves
Date: 07/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Proposed CY 2026 Medicare Physician Fee Schedule: Fact Sheet
Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2026 as outlined in the final calendar year (CY) 2026 Physician Fee Schedule. Covers the process for determining which services can be delivered by telehealth; frequency limitations for inpatient visits, nursing facilities, and critical care consults; direct supervision through the use of live video; payment to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs); and more.
Date: 07/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2026 as outlined in the final calendar year (CY) 2026 Physician Fee Schedule. Covers the process for determining which services can be delivered by telehealth; frequency limitations for inpatient visits, nursing facilities, and critical care consults; direct supervision through the use of live video; payment to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs); and more.
Date: 07/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2025
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Establishing First Age-Friendly Health System Tele-Palliative Care Clinic – Facilitators, Challenges, Lessons Learned to Improve Care for Rural, Older Veterans
Presents a study exploring an age-friendly tele-palliative care clinic for older veterans. Highlights challenges and successes of using telehealth to provide palliative care to older rural veterans in Colorado.
Author(s): Stephanie Hartz, Alexander Garbin, Kathryn Allen Nearing, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 07/2025
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Presents a study exploring an age-friendly tele-palliative care clinic for older veterans. Highlights challenges and successes of using telehealth to provide palliative care to older rural veterans in Colorado.
Author(s): Stephanie Hartz, Alexander Garbin, Kathryn Allen Nearing, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 07/2025
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Palliative Video Consultation and Symptom Distress Among Rural Inpatients: A Randomized Clinical Trial
Results of a study to assess whether culturally-based palliative care video consultation improves symptom distress compared with usual inpatient care without palliative care. Uses data collected from July 2020 to December 2023 from 3 rural hospitals in Alabama, Mississippi, and South Carolina.
Author(s): Marie A. Bakitas, Shena Gazaway, Felicia Underwood, et al.
Citation: JAMA Network Open, 8(7), e2519426
Date: 07/2025
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Results of a study to assess whether culturally-based palliative care video consultation improves symptom distress compared with usual inpatient care without palliative care. Uses data collected from July 2020 to December 2023 from 3 rural hospitals in Alabama, Mississippi, and South Carolina.
Author(s): Marie A. Bakitas, Shena Gazaway, Felicia Underwood, et al.
Citation: JAMA Network Open, 8(7), e2519426
Date: 07/2025
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Diabetic Retinopathy in Rural Communities: A Review of Barriers to Access of Care and Potential Solutions
Narrative review examining diabetic retinopathy (DR) prevalence and barriers to care in rural communities. Identifies factors contributing to poor access to care and suggests potential solutions, covering topics including telehealth use, workforce supply and distribution, healthcare policy, and more.
Author(s): James Burmeister, Madeline N. Pham, Forrest Bohler, Caleb North
Citation: Annals of Medicine, 57, 2522323
Date: 07/2025
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Narrative review examining diabetic retinopathy (DR) prevalence and barriers to care in rural communities. Identifies factors contributing to poor access to care and suggests potential solutions, covering topics including telehealth use, workforce supply and distribution, healthcare policy, and more.
Author(s): James Burmeister, Madeline N. Pham, Forrest Bohler, Caleb North
Citation: Annals of Medicine, 57, 2522323
Date: 07/2025
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EMS Service Integration in American Indian and Native Alaskan Rural Communities
Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Access and Quality of Mental Health Services in Rural and Urban America
Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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